Patricia Ann Maksoudian, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006187 Issued in MI

Practice address

3501 Lake Eastbrook Blvd SE
Suite 280
Grand Rapids, MI 49546-5938

Phone

(616) 942-7331

Fax

(616) 942-8807

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871650747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE",
            "address_2": "SUITE 280",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465938",
            "telephone_number": "616-942-7331",
            "fax_number": "616-942-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE",
            "address_2": "SUITE 280",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465938",
            "telephone_number": "616-942-7331",
            "fax_number": "616-942-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSOUDIAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Makki
• Vicki Marie Makley, SOCIAL WORKER
• Igor Makovey, D.D.S., M.D.
• Beth J Makowski Shell, DO
• Courtney Janine Makris, DO
• Stuart A Malafa, MD
• Jarek William Malatestinic
• Nebojsa Malbasa
• Katelyn Anne Malbrecht, PA
• Sheri Ann Malcolm, PHARMD

• Marriage & Family Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.